Full Name | |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 100 E 2nd St., Parachute, Colorado |
Authorized Official Name and Position | Ross Brooks (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 9709281609 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
2700 Gilstrap Ct Ste 230 Glenwood Springs CO 81601-8735 Ph: (970) 945-2840 | 100 E 2nd St. Parachute CO 81635 Ph: (970) 945-2840 |
NPI Number | 1003328840 |
---|---|
Provider Enumeration Date | 11/02/2017 |
Last Update Date | 11/02/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003328840 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |